White Knoll Comprehensive Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

2790 Issued in SC

Legal business name

WHITE KNOLL COMPREHENSIVE DENTISTRY

Practice address

1825 S Lake Dr
Lexington, SC 29073-7759

Phone

(803) 785-9991

Fax

(803) 785-6921

NPI assigned

Nov 18, 2015

Last updated

Nov 18, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Pamela Suzanne Cockrell

Title

Insurance Coordinator

Phone

(803) 785-9991

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1811361579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290737759",
            "telephone_number": "803-785-9991",
            "fax_number": "803-785-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290737759",
            "telephone_number": "803-785-9991",
            "fax_number": "803-785-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE KNOLL COMPREHENSIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "COCKRELL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "803-785-9991",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "2790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann Wheeler, M.S., CCC-SLP
• Caleb E. Wheeler, M.D.
• Matthew Lance Wheeler
• Nathan Benjamin Wheeler, BA
• Shanequa Racquel Whetstone
• White Knoll Dentistry, LLC
• Lindsey Busbee White, MSN, FNP-C
• Mellisa L White, OTR/L
• Sarah Emily White, RN
• Terri Lynn White, RN

• Dentist in Lexington, SC
• Providers in Lexington, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.